Changing practice in the assessment and treatment of somatosensory loss in stroke survivors: Protocol for a knowledge translation study

Journal article

Cahill, Liana, Lannin, Natasha, Mak-Yuen, Yvonne, Turville, Megan and Carey, Leeanne. (2018). Changing practice in the assessment and treatment of somatosensory loss in stroke survivors: Protocol for a knowledge translation study. BMC Health Services Research. 18(34), pp. 1 - 8. https://doi.org/10.1186/s12913-018-2829-z
AuthorsCahill, Liana, Lannin, Natasha, Mak-Yuen, Yvonne, Turville, Megan and Carey, Leeanne
Abstract

Background
The treatment of somatosensory loss in the upper limb after stroke has been historically overshadowed by therapy focused on motor recovery. A double-blind randomized controlled trial has demonstrated the effectiveness of SENSe (Study of the Effectiveness of Neurorehabilitation on Sensation) therapy to retrain somatosensory discrimination after stroke. Given the acknowledged prevalence of upper limb sensory loss after stroke and the evidence-practice gap that exists in this area, effort is required to translate the published research to clinical practice. The aim of this study is to determine whether evidence-based knowledge translation strategies change the practice of occupational therapists and physiotherapists in the assessment and treatment of sensory loss of the upper limb after stroke to improve patient outcomes.
Method/design
A pragmatic, before-after study design involving eight (n = 8) Australian health organizations, specifically sub-acute and community rehabilitation facilities. Stroke survivors (n = 144) and occupational therapists and physiotherapists (~10 per site, ~n = 80) will be involved in the study. Stroke survivors will be provided with SENSe therapy or usual care. Occupational therapists and physiotherapists will be provided with a multi-component approach to knowledge translation including i) tailoring of the implementation intervention to site-specific barriers and enablers, ii) interactive group training workshops, iii) establishing and fostering champion therapists and iv) provision of written educational materials and online resources. Outcome measures for occupational therapists and physiotherapists will be pre- and post-implementation questionnaires and audits of medical records. The primary outcome for stroke survivors will be change in upper limb somatosensory function, measured using a standardized composite measure.
Discussion
This study will provide evidence and a template for knowledge translation in clinical, organizational and policy contexts in stroke rehabilitation.
Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR) retrospective registration ACTRN12615000933550.

KeywordsSomatosensory disorders; Translational medical research; Clinician behavior change; Occupational therapy; Physiotherapy; Rehabilitation; Complex intervention
Year2018
JournalBMC Health Services Research
Journal citation18 (34), pp. 1 - 8
PublisherBioMed Central
ISSN1472-6963
Digital Object Identifier (DOI)https://doi.org/10.1186/s12913-018-2829-z
Scopus EID2-s2.0-85043502753
Open accessOpen access
Page range1 - 8
Research GroupSchool of Allied Health
Publisher's version
License
Place of publicationUnited Kingdom
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